Fibroids Uterine

ʻO nā fibroids o ka ʻōpū hāpai he mau ulu maʻamau ia o ka ʻōpū hāpai. Hoʻomaka pinepine lākou i nā makahiki e hiki ai iā ʻoe ke hāpai a hānau. ʻAʻole nā fibroids o ka ʻōpū hāpai he kanesa, a aneane ʻaʻole loa lākou e lilo i kanesa. ʻAʻole pili pū lākou me ka pilikia kiʻekiʻe o nā ʻano kanesa ʻē aʻe ma ka ʻōpū hāpai. Ke kapa ʻia nei lākou he leiomyomas (lie-o-my-O-muhs) a i ʻole myomas.

He ʻano like ʻole ka nui a me ka nui o nā fibroids. Hiki iā ʻoe ke loaʻa hoʻokahi fibroid a ʻoi aku paha. He liʻiliʻi loa kekahi o kēia mau ulu ʻaʻole hiki ke ʻike ʻia me nā maka. Hiki i nā mea ʻē aʻe ke ulu a hiki i ka nui o ka pomelo a ʻoi aku paha. Hiki i kahi fibroid nui loa ke hoʻololi i loko a me waho o ka ʻōpū hāpai. I nā hihia koʻikoʻi, ulu nui kekahi mau fibroids e piha i ka pelvis a i ʻole ka ʻōpū. Hiki iā lākou ke hana i kahi kanaka e like me ka hāpai.

He nui nā kānaka i loaʻa nā fibroids o ka ʻōpū hāpai i kekahi manawa o ko lākou ola. Akā, ʻaʻole paha ʻoe e ʻike iā ʻoe i loaʻa iā lākou, no ka mea, ʻaʻole pinepine lākou e hōʻike i nā hōʻailona. Hiki i kāu kauka ola ke ʻike wale i nā fibroids i ka wā o kahi hoʻokolokolo pelvic a i ʻole ka ultrasound hāpai.

He nui ka poʻe i loaʻa iā lākou nā fibroids o ka uterus ʻaʻole loaʻa iā lākou kekahi mau hōʻailona. I loko o ka poʻe i loaʻa iā lākou, hiki i nā hōʻailona ke hoʻopilikia ʻia e ka wahi, ka nui a me ka nui o nā fibroids. ʻO nā hōʻailona maʻamau loa o nā fibroids o ka uterus e komo pū ana: Ke kahe nui o ke koko i ka wā o ka menstruation a i ʻole nā manawa ʻeha. Nā manawa lōʻihi a i ʻole pinepine. Kaomi a i ʻole ka ʻeha o ka pelvis. Ka mimi pinepine a i ʻole ka pilikia i ka mimi ʻana. Ka ulu ʻana o ka ʻōpū. Ka constipation. Ka ʻeha i ka wahi o ka ʻōpū a i ʻole ke kua haʻahaʻa, a i ʻole ka ʻeha i ka wā o ka moekolohe. I nā manawa kakaikahi, hiki i kahi fibroid ke hoʻokumu i ka ʻeha koke a koʻikoʻi i ka wā e ulu nui ai ma mua o kona lako koko a hoʻomaka e make. I ka manawa pinepine, hoʻokaʻawale ʻia nā fibroids e ko lākou wahi. ulu nā fibroids intramural i loko o ka paia muscular o ka uterus. Hoʻopū nā fibroids submucosal i loko o ka lua o ka uterus. Hoʻokumu nā fibroids subserosal ma waho o ka uterus. E ʻike i kāu kauka inā loaʻa iā ʻoe: Ka ʻeha o ka pelvis ʻaʻole e hele. Nā manawa kaumaha a i ʻole ʻeha e kaupalena i kāu hiki ke hana. Ka spotting a i ʻole ke kahe koko ma waena o nā manawa. Ka pilikia i ka hoʻopau ʻana i kāu bladder. Ka luhi mau a me ka nāwaliwali, kahi hiki ke lilo i nā hōʻailona o ka anemia, ʻo ia hoʻi ka haʻahaʻa o ka nui o nā cell ʻulaʻula. E kiʻi i ka mālama lapaʻau koke inā loaʻa iā ʻoe ke kahe koko nui mai ka vagina a i ʻole ka ʻeha koʻikoʻi o ka pelvis e hele koke mai.

E ʻike i kāu kauka inā loaʻa iā ʻoe:

• ʻEha pelvis ʻaʻole e hala.
• Mauka nui a i ʻole nā ​​manawa ʻeha e kaupalena ana i kāu hiki ke hana.
• Ka pīpī ʻana a i ʻole ke kahe koko ma waena o nā manawa.
• Pilikia i ka hoʻopau ʻana i kāu ʻeke mimi.
• Luhi mau a me ka nāwaliwali, ʻo ia paha nā hōʻailona o ka anemia, ʻo ia hoʻi ka haʻahaʻa o nā pūnaewele koko ʻulaʻula. E kiʻi i ka mālama lapaʻau koke inā loaʻa iā ʻoe ka kahe koko nui mai ka vagina a i ʻole ka ʻeha pelvis ʻoi aku ka ikaika e hele mai koke ana.

ʻAʻole maopopo ka kumu kūpono o nā fibroids o ka ʻōpū. Akā, hiki i kēia mau mea ke pāʻani i nā kuleana:

• Hoʻololi gene. He nui nā fibroids i loaʻa nā hoʻololi i nā gene e ʻokoʻa mai nā mea ma nā cell muscle uterine maʻamau.
• Hormones. ʻElua mau hormones i kapa ʻia ʻo estrogen a me progesterone e hoʻoulu i ka pūnaewele e uhi ana i loko o ka ʻōpū e mānoanoa i kēlā me kēia pōʻai menstrual e hoʻomākaukau no ka hāpai keiki. Me he mea lā ke kōkua nei kēia mau hormones i ka ulu ʻana o nā fibroids.

Loaʻa i nā fibroids nā cell hou aʻe e hoʻopili ai ka estrogen a me ka progesterone ma mua o nā cell muscle uterine maʻamau. Hoʻemi pinepine nā fibroids ma hope o ka menopause ma muli o ka emi ʻana o nā pae hormone.

• Nā mea ulu ʻē aʻe. Hiki i nā mea e kōkua i ke kino e mālama i nā pūnaewele, e like me ka insulin-like growth factor, ke hoʻopili i ka ulu ʻana o nā fibroids.

Hormones. ʻElua mau hormones i kapa ʻia ʻo estrogen a me progesterone e hoʻoulu i ka pūnaewele e uhi ana i loko o ka ʻōpū e mānoanoa i kēlā me kēia pōʻai menstrual e hoʻomākaukau no ka hāpai keiki. Me he mea lā ke kōkua nei kēia mau hormones i ka ulu ʻana o nā fibroids.

Loaʻa i nā fibroids nā cell hou aʻe e hoʻopili ai ka estrogen a me ka progesterone ma mua o nā cell muscle uterine maʻamau. Hoʻemi pinepine nā fibroids ma hope o ka menopause ma muli o ka emi ʻana o nā pae hormone.

Manaʻo nā kauka e ulu paha nā fibroids o ka ʻōpū mai kahi stem cell i loko o ka ʻiʻo muscular maʻalahi o ka ʻōpū. Hoʻokahi cell e māhele hou a hou. I ka manawa, lilo ia i mea paʻa, rubbery mass e ʻokoʻa mai ka pūnaewele kokoke.

ʻOkoʻa nā ʻano ulu o nā fibroids o ka ʻōpū. Hiki iā lākou ke ulu mālie a wikiwiki paha. A i ʻole paha e noho like ka nui. Ke hele nei kekahi mau fibroids i nā spurts ulu, a ke emi nei kekahi iā lākou iho.

Hiki i nā fibroids i hana ʻia i ka wā hāpai ke emi a nalowale paha ma hope o ka hāpai ʻana, ke hoʻi ka ʻōpū i kona nui maʻamau.

He mau kumu pilikia iki wale nō i ʻike ʻia no nā fibroids o ka ʻōpū, ma waho aʻe o ka lilo ʻana i kanaka o ka makahiki hānau keiki. ʻO kēia mau mea kekahi:

• Lāhui. Hiki i nā kānaka āpau o ka makahiki hānau keiki i hānau ʻia he wahine ke loaʻa nā fibroids. Akā, ʻoi aku ka nui o ka loaʻa ʻana o nā fibroids i nā kānaka ʻeleʻele ma mua o nā kānaka o nā hui lāhui ʻē aʻe. Loaʻa i nā kānaka ʻeleʻele nā fibroids i nā makahiki ʻōpio ma mua o nā kānaka keʻokeʻo. ʻOi aku ka nui o ka loaʻa ʻana o nā fibroids nui a nui paha iā lākou, me nā hōʻailona ʻino loa, ma mua o nā kānaka keʻokeʻo.
• Mōʻaukala ʻohana. Inā loaʻa i kou makuahine a i ʻole kou kaikuahine nā fibroids, ʻoi aku ka nui o kou pilikia e loaʻa iā lākou.
• Nā kumu ʻē aʻe. ʻO ka hoʻomaka ʻana o kou manawa ma mua o 10 makahiki; ka momona; ka emi ʻana o ka huaora D; ka ʻai ʻana i ka ʻiʻo ʻulaʻula nui a emi iho ka nui o nā lau ʻōmaʻomaʻo, nā hua a me nā waiū; a me ka inu ʻawaʻawa, me ka pia, me he mea lā e hoʻonui ana i kou pilikia e loaʻa ai nā fibroids.

Hoʻopili pinepine ʻia nā fibroids o ka ʻōpū a ʻaʻole weliweli. Akā, hiki iā lākou ke hoʻoulu i ka ʻeha, a hiki ke alakaʻi i nā pilikia. ʻO kēia mau mea e komo pū ana ka emi ʻana o nā punahele ʻulaʻula i kapa ʻia ʻo anemia. Hiki i kēlā kūlana ke hoʻoulu i ka luhi mai ka nalowale nui o ke koko. Inā nui ka koko e kahe ana i kou wā, hiki i kāu kauka ke haʻi aku iā ʻoe e lawe i kahi mea hoʻohui hao e pale ai a kōkua paha i ka hoʻokele ʻana i ka anemia. I kekahi manawa, pono kahi kanaka me ka anemia e loaʻa ke koko mai ka mea hāʻawi, i kapa ʻia ʻo ka transfusion, ma muli o ka nalowale o ke koko.

Pinepine, ʻaʻole pili nā fibroids i ka hāpai ʻana. Akā, ʻo kekahi mau fibroids—ʻo ka ʻano submucosal kekahi—hiki ke hoʻoulu i ka infertility a i ʻole ka nalowale o ka hāpai ʻana.

Hiki nō hoʻi i nā fibroids ke hoʻonui i ka pilikia o kekahi mau pilikia hāpai ʻana. ʻO kēia mau mea e komo pū ana:

• Ka placental abruption, i ka wā e hoʻokaʻawale ai ka mea e lawe mai ana i ka oxygen a me nā meaʻai i ke pēpē, i kapa ʻia ʻo ka placenta, mai ka paia o loko o ka ʻōpū.
• Ka fetal growth restriction, i ka wā ʻaʻole ulu maikaʻi ka pēpē e hānau ʻia e like me ka manaʻo.
• Ka preterm delivery, i ka wā e hānau mua ʻia ai ka pēpē, ma mua o ka hebedoma 37 o ka hāpai ʻana.

Ke hoʻomau nei nā mea noiʻi i ka noiʻi ʻana i nā kumu o nā maʻi fibroid. Akā, pono hou aku ka noiʻi ʻana i ka pehea e pale aku ai iā lākou. ʻAʻole paha e hiki ke pale aku i nā fibroids o ka ʻōpū. Akā, he hapa liʻiliʻi wale nō o kēia mau maʻi e pono ai ka mālama. Loaʻa paha iā ʻoe ke hoʻoemi i kou pilikia fibroid me nā loli o ke ola olakino. E ho'āʻo e noho i kahi kaumaha olakino. E hana i ka hoʻoikaika kino maʻamau. A e ʻai i ka ʻai kaulike me ka nui o nā hua a me nā huaʻai. Ke hōʻike nei kekahi noiʻi e hiki i nā pila kāohi hānau a i ʻole nā ​​​​contraceptives progestin-only lōʻihi ke hoʻoemi i ka pilikia o nā fibroids. Akā, ʻo ka hoʻohana ʻana i nā pila kāohi hānau ma mua o 16 mau makahiki paha e pili ana i ka pilikia kiʻekiʻe.

Hoike Pelvic Hoʻonui i ke kiʻi E pani i ka Hoike Pelvic Hoike Pelvic I ka wā o ka hoike pelvic, e hoʻokomo ke kauka i hoʻokahi a ʻelua paha o nā manamana lima i loko o ka vagina. Ke kaomi i lalo ma ka ʻōpū i ka manawa like, hiki i ke kauka ke nānā i ka uterus, ovaries a me nā ʻōnaehana ʻē aʻe. Hoʻomaʻamaʻa pinepine ʻia nā fibroids uterine i ka wā o ka hoike pelvic maʻamau. Hiki i kāu kauka ke ʻike i nā loli kūpono ʻole i ke ʻano o kāu uterus, e hōʻike ana i ke alo o nā fibroids. Inā loaʻa iā ʻoe nā hōʻailona o nā fibroids uterine, pono paha iā ʻoe kēia mau hoʻokolohua: Ultrasound. Hoʻohana kēia hoʻokolohua i nā nalu kani e kiʻi i kahi kiʻi o kāu uterus. Hiki iā ia ke hōʻoia iā ʻoe he fibroids, a me ka palapala ʻāina a me ke ana ʻana iā lākou. E hoʻoneʻe ke kauka a i ʻole ka mea loea i ka mea hana ultrasound, i kapa ʻia ʻo ka transducer, ma luna o kou wahi ʻōpū. Kēia ka mea i kapa ʻia ʻo ka transabdominal ultrasound. A i ʻole e kau ʻia ka mea hana i loko o kāu vagina e kiʻi i nā kiʻi o kāu uterus. Kēia ka mea i kapa ʻia ʻo ka transvaginal ultrasound. Nā hoʻokolohua Lab. Inā loaʻa iā ʻoe kahe menstrual kūpono ʻole, pono paha iā ʻoe nā hoʻokolohua koko e ʻimi i nā kumu hiki ke loaʻa. Hiki i kēia ke komo pū me ka helu koko piha e nānā i ka anemia ma muli o ka nalowale koko mau. Hiki i nā hoʻokolohua koko ʻē aʻe ke ʻimi i nā maʻi koko a i ʻole nā ​​pilikia thyroid. Nā hoʻokolohua kiʻi ʻē aʻe Hysterosonography Hoʻonui i ke kiʻi E pani i ka Hysterosonography Hysterosonography I ka wā o ka hysterosonography (his-tur-o-suh-NOG-ruh-fee), loaʻa iā ʻoe kahi tube lahilahi, flexible i kapa ʻia ʻo ka catheter i kau ʻia i loko o ka uterus. Hoʻokomo ʻia ka wai paʻakai, i kapa ʻia hoʻi ʻo saline, ma o ka tube flexible i loko o ka ʻāpana hakahaka o ka uterus. Hoʻouna kahi ultrasound probe i nā kiʻi o loko o ka uterus i kahi monitor kokoke. Hysterosalpingography Hoʻonui i ke kiʻi E pani i ka Hysterosalpingography Hysterosalpingography E kau ke kauka a i ʻole ka mea loea i kahi catheter lahilahi i loko o kāu cervix. Hoʻokuʻu ia i kahi wai hoʻohālikelike wai e kahe i loko o kāu uterus. Ke hahai nei ka dye i ke ʻano o kāu uterine cavity a me nā fallopian tubes a hana iā lākou i ʻike ʻia ma nā kiʻi X-ray. Hysteroscopy Hoʻonui i ke kiʻi E pani i ka Hysteroscopy Hysteroscopy I ka wā o ka hysteroscopy (his-tur-OS-kuh-pee), hāʻawi kahi mea hana māmā, lahilahi i kahi hiʻohiʻona o loko o ka uterus. Kēia mea hana i kapa ʻia hoʻi ʻo ka hysteroscope. Inā ʻaʻohe lawa o ka ʻike i hāʻawi ʻia e ka ultrasound, pono paha iā ʻoe nā haʻawina kiʻi ʻē aʻe, e like me: Magnetic resonance imaging (MRI). Hiki i kēia hoʻokolohua ke hōʻike i ka kikoʻī hou aku i ka nui a me ka wahi o nā fibroids. Hiki iā ia ke ʻike i nā ʻano ʻokoʻa o nā tumors a kōkua i ka hoʻoholo ʻana i nā koho mālama. ʻO ka hapa nui, hoʻohana ʻia ka MRI i nā poʻe me ka uterus nui a i ʻole i nā poʻe e kokoke ana i ka menopause, i kapa ʻia hoʻi ʻo perimenopause. Hysterosonography. Hoʻohana ka Hysterosonography (his-tur-o-suh-NOG-ruh-fee) i ka wai paʻakai sterile i kapa ʻia ʻo saline e hoʻonui i ka wahi i loko o ka uterus, i kapa ʻia ʻo ka uterine cavity. Hana kēia i mea maʻalahi ke kiʻi i nā kiʻi o nā fibroids submucosal a me ka laina o ka uterus inā ke ho'āʻo nei ʻoe e hāpai a i loaʻa iā ʻoe kahe menstrual kaumaha. ʻO kekahi inoa no ka hysterosonography he saline infusion sonogram. Hysterosalpingography. Hoʻohana ka Hysterosalpingography (his-tur-o-sal-ping-GOG-ruh-fee) i kahi dye e hoʻomālamalama i ka uterine cavity a me nā fallopian tubes ma nā kiʻi X-ray. Hiki i kāu kauka ke ʻōlelo aku inā he pilikia ka infertility. Hiki i kēia hoʻokolohua ke kōkua i ka ʻike inā wehe a pani paha kāu fallopian tubes, a hiki iā ia ke hōʻike i kekahi mau fibroids submucosal. Hysteroscopy. No kēia hoʻokolohua, e hoʻokomo kāu kauka i kahi telescope māmā liʻiliʻi i kapa ʻia ʻo ka hysteroscope ma o kāu cervix i loko o kāu uterus. A laila e hoʻokomo ʻia ka saline i loko o kāu uterus. Hoʻonui kēia i ka uterine cavity a hāʻawi i kāu kauka e nānā i nā paia o kāu uterus a me nā wehe ʻana o kāu fallopian tubes. Mālama ma Mayo Clinic Hiki i kā mākou hui mālama o nā loea Mayo Clinic ke kōkua iā ʻoe me kāu mau pilikia olakino pili i nā fibroids uterine E hoʻomaka ma aneʻi ʻIke hou aku Mālama fibroids uterine ma Mayo Clinic Helu koko piha (CBC) CT scan MRI Hoike Pelvic Ultrasound E hōʻike hou aku i ka ʻike pili

ʻAʻohe lapaʻau maikaʻi loa hoʻokahi no nā fibroids uterine. Nui nā koho lapaʻau. Inā loaʻa iā ʻoe nā hōʻailona, e kamaʻilio me kāu kime mālama e pili ana i nā ala e loaʻa ai ka hoʻomaha. \nNui nā kānaka me nā fibroids uterine ʻaʻohe hōʻailona. A i ʻole he mau hōʻailona hoʻonāukiuki iki loa a hiki iā lākou ke ola pū me ia. Inā pēlā ia no ʻoe, hiki i ka kali akahele ke koho maikaʻi loa. \nʻAʻole nā fibroids he kanesa. ʻAʻole pinepine lākou e pilikia i ka hāpai keiki. Hoʻomāhuahua pinepine lākou i ka lohi — a i ʻole ʻaʻole loa — a kūpono e emi iho ma hope o ka menopause, i ka wā e emi ai nā pae o nā hormones hanau. \n- Gonadotropin-releasing hormone (GnRH) agonists. Hoʻoponopono kēia i nā fibroids ma ka pale ʻana i ke kino mai ka hana ʻana i nā hormones estrogen a me progesterone. Hoʻokomo kēia iā ʻoe i kahi kūlana like me ka menopause. Ma muli o kēia, e pau nā manawa menstrual, e emi nā fibroids a pinepine e maikaʻi ka anemia. \n ʻO nā GnRH agonists e komo pū me ka leuprolide (Lupron Depot, Eligard, nā mea ʻē aʻe), goserelin (Zoladex) a me triptorelin (Trelstar, Triptodur Kit). \n Nui nā kānaka i loaʻa nā wela wela i ka wā e hoʻohana ana i nā GnRH agonists. Pinepine, hoʻohana ʻia kēia mau lāʻau lapaʻau no ʻeono mahina wale nō. ʻO ia no ka mea e hoʻi mai nā hōʻailona i ka wā e hoʻōki ʻia ai ka lāʻau lapaʻau, a hiki i ka hoʻohana lōʻihi ke hoʻopōʻino i ka iwi. I kekahi manawa, lawe ʻia nā GnRH agonists me ka estrogen haʻahaʻa a i ʻole progestin. Hiki iā ʻoe ke lohe i kēia i kapa ʻia ʻo ka add-back therapy. Hiki iā ia ke hoʻomaha i nā hopena ʻaoʻao, a hiki paha iā ia ke ʻae iā ʻoe e lawe i nā GnRH agonists a hiki i 12 mau mahina. \n Hiki i kāu kauka ke kuhikuhi i kahi GnRH agonist e hoʻemi i ka nui o kāu fibroids ma mua o ka hana ʻoki kino i hoʻolālā ʻia. A i ʻole hiki ke kuhikuhi ʻia kēia lāʻau lapaʻau iā ʻoe e kōkua i ka hoʻololi ʻana iā ʻoe i ka menopause. \n- Gonadotropin-releasing hormone (GnRH) antagonists. Hiki i kēia mau lāʻau lapaʻau ke mālama i ke kahe menstrual kaumaha i nā kānaka me nā fibroids uterine i hele ʻole i ka menopause. Akā ʻaʻole lākou e hoʻemi i nā fibroids. Hiki ke hoʻohana ʻia nā GnRH antagonists no ʻelua mau makahiki. ʻO ka lawe ʻana iā lākou me ka add-back therapy hiki ke hoʻemi i nā hopena ʻaoʻao e like me nā wela wela a me ka nalowale o ka iwi. I kekahi manawa, ua hoʻokomo mua ʻia ka estrogen haʻahaʻa a i ʻole progestin i kēia mau lāʻau lapaʻau. \n ʻO nā GnRH antagonists e komo pū me ka elagolix (Oriahnn) a me relugolix (Myfembree). \n- Progestin-releasing intrauterine device (IUD). Hiki i kahi progestin-releasing IUD ke hoʻomaha i ke kahe nui i hana ʻia e nā fibroids. Hoʻomaha wale ia i nā hōʻailona, ʻoiai. ʻAʻole ia e hoʻemi i nā fibroids a i ʻole e hoʻoneʻe iā lākou. Pale aku ia i ka hāpai keiki. \n- Tranexamic acid (Lysteda, Cyklokapron). Hiki i kēia lāʻau lapaʻau nonhormonal ke hoʻomaha i nā manawa menstrual kaumaha. Lawe ʻoe ia ma nā lā kahe kaumaha wale nō. \n- Nā lāʻau lapaʻau ʻē aʻe. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau ʻē aʻe. No ka laʻana, hiki i nā papa hana hānau haʻahaʻa ke kōkua i ka kaohi ʻana i ke kahe menstrual. Akā ʻaʻole lākou e hoʻemi i ka nui o ka fibroid. \n Hiki i nā lāʻau lapaʻau i kapa ʻia ʻo nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) ke kōkua i ka hoʻomaha ʻana i ka ʻeha i pili i nā fibroids, akā ʻaʻole lākou e hoʻemi i ke kahe i hana ʻia e nā fibroids. ʻAʻole nā NSAIDs he mau lāʻau hormonal. ʻO nā laʻana e komo pū me ka ibuprofen (Advil, Motrin IB, nā mea ʻē aʻe) a me ka naproxen sodium (Aleve). Hiki i kāu kauka ke manaʻo e lawe ʻoe i nā wikamina a me ka hao inā loaʻa iā ʻoe ke kahe menstrual kaumaha a me ka anemia. \nGonadotropin-releasing hormone (GnRH) agonists. Hoʻoponopono kēia i nā fibroids ma ka pale ʻana i ke kino mai ka hana ʻana i nā hormones estrogen a me progesterone. Hoʻokomo kēia iā ʻoe i kahi kūlana like me ka menopause. Ma muli o kēia, e pau nā manawa menstrual, e emi nā fibroids a pinepine e maikaʻi ka anemia. \nGnRH agonists e komo pū me leuprolide (Lupron Depot, Eligard, nā mea ʻē aʻe), goserelin (Zoladex) a me triptorelin (Trelstar, Triptodur Kit). \nNui nā kānaka i loaʻa nā wela wela i ka wā e hoʻohana ana i nā GnRH agonists. Pinepine, hoʻohana ʻia kēia mau lāʻau lapaʻau no ʻeono mahina wale nō. ʻO ia no ka mea e hoʻi mai nā hōʻailona i ka wā e hoʻōki ʻia ai ka lāʻau lapaʻau, a hiki i ka hoʻohana lōʻihi ke hoʻopōʻino i ka iwi. I kekahi manawa, lawe ʻia nā GnRH agonists me ka estrogen haʻahaʻa a i ʻole progestin. Hiki iā ʻoe ke lohe i kēia i kapa ʻia ʻo ka add-back therapy. Hiki iā ia ke hoʻomaha i nā hopena ʻaoʻao, a hiki paha iā ia ke ʻae iā ʻoe e lawe i nā GnRH agonists a hiki i 12 mau mahina. \nHiki i kāu kauka ke kuhikuhi i kahi GnRH agonist e hoʻemi i ka nui o kāu fibroids ma mua o ka hana ʻoki kino i hoʻolālā ʻia. A i ʻole hiki ke kuhikuhi ʻia kēia lāʻau lapaʻau iā ʻoe e kōkua i ka hoʻololi ʻana iā ʻoe i ka menopause. \nGonadotropin-releasing hormone (GnRH) antagonists. Hiki i kēia mau lāʻau lapaʻau ke mālama i ke kahe menstrual kaumaha i nā kānaka me nā fibroids uterine i hele ʻole i ka menopause. Akā ʻaʻole lākou e hoʻemi i nā fibroids. Hiki ke hoʻohana ʻia nā GnRH antagonists no ʻelua mau makahiki. ʻO ka lawe ʻana iā lākou me ka add-back therapy hiki ke hoʻemi i nā hopena ʻaoʻao e like me nā wela wela a me ka nalowale o ka iwi. I kekahi manawa, ua hoʻokomo mua ʻia ka estrogen haʻahaʻa a i ʻole progestin i kēia mau lāʻau lapaʻau. \nGnRH antagonists e komo pū me elagolix (Oriahnn) a me relugolix (Myfembree). \nNā lāʻau lapaʻau ʻē aʻe. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau ʻē aʻe. No ka laʻana, hiki i nā papa hana hānau haʻahaʻa ke kōkua i ka kaohi ʻana i ke kahe menstrual. Akā ʻaʻole lākou e hoʻemi i ka nui o ka fibroid. \nNā lāʻau lapaʻau i kapa ʻia ʻo nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) hiki ke kōkua i ka hoʻomaha ʻana i ka ʻeha i pili i nā fibroids, akā ʻaʻole lākou e hoʻemi i ke kahe i hana ʻia e nā fibroids. ʻAʻole nā NSAIDs he mau lāʻau hormonal. ʻO nā laʻana e komo pū me ka ibuprofen (Advil, Motrin IB, nā mea ʻē aʻe) a me ka naproxen sodium (Aleve). Hiki i kāu kauka ke manaʻo e lawe ʻoe i nā wikamina a me ka hao inā loaʻa iā ʻoe ke kahe menstrual kaumaha a me ka anemia. \nI ka wā o ka hana ultrasound i hoʻokau ʻia, hoʻohana ʻia nā leo leo kiʻekiʻe, kiʻekiʻe-ikehu e hoʻokau a hoʻopau i nā fibroids uterine. Hana ʻia ke kaʻina hana i ka wā e noho ana ʻoe i loko o ka mīkini MRI. ʻAe ka lako i kāu kauka e ʻike i kāu uterus, e ʻike i nā fibroids a hoʻopau i ka ʻiʻo fibroid me ka hana ʻole i nā incisions. \nʻAʻole pili kahi lapaʻau noninvasive i nā ʻoki ʻoki i kapa ʻia ʻo incisions. ʻAʻole pili pū ia i nā mea hana i waiho ʻia i loko o ke kino. Me nā fibroids uterine, he kaʻina hana i kapa ʻia ʻo MRI-guided focused ultrasound surgery (FUS): \n- He koho lapaʻau noninvasive e mālama ana i ka uterus. Hana ʻia ma kahi outpatient basis, ʻo ia hoʻi ʻaʻole pono ʻoe e hoʻolilo i ka pō ma ka haukapila ma hope. \n- Hana ʻia i ka wā e noho ana ʻoe i loko o ka mīkini MRI i hoʻolako ʻia me kahi mea hana ultrasound kiʻekiʻe-ikehu no ka mālama ʻana. Hāʻawi nā kiʻi i kāu kauka i kahi kūlana pololei o nā fibroids uterine. I ka wā e hoʻokau ʻia ai kahi fibroid, hoʻokau ka mea hana ultrasound i nā leo leo i loko o ka fibroid e hoʻomehana a hoʻopau i nā wahi liʻiliʻi o ka ʻiʻo fibroid. \n- ʻO ka ʻenehana hou, no laila ke aʻo nei nā mea noiʻi hou aku e pili ana i ka palekana a me ka pono lōʻihi. Akā a hiki i kēia manawa, hōʻike nā ʻikepili i hōʻiliʻili ʻia ua palekana a hana maikaʻi ʻo FUS no nā fibroids uterine. Eia nō naʻe, ʻaʻole paha ia e hoʻomaikaʻi i nā hōʻailona e like me kahi kaʻina hana invasive iki i kapa ʻia ʻo ka embolization uterine artery. \nHoʻokomo ʻia nā ʻāpana liʻiliʻi i kapa ʻia ʻo nā mea embolic i loko o ka artery uterine ma o kahi catheter liʻiliʻi. A laila e kahe nā mea embolic i nā fibroids a waiho i nā arteries e hānai iā lākou. Hoʻokiʻekiʻe kēia i ke kahe koko e hoʻōlohelohe i nā tumors. \nI ka wā o ka laparoscopic radiofrequency ablation, ʻike ke kauka i loko o ka ʻōpū me ka hoʻohana ʻana i ʻelua mau mea hana kūikawā. ʻO kekahi he kāmela laparoscopic i waiho ʻia ma luna o ka uterus. ʻO kekahi he wand ultrasound laparoscopic e noho pololei ana ma ka uterus. ʻO ka hoʻohana ʻana i nā mea hana ʻelua e hāʻawi i ke kauka i ʻelua mau hiʻohiʻona o kahi fibroid uterine. ʻAe kēia no ka mālama ʻana i ka nui ma mua o ka hiki ʻana me hoʻokahi hiʻohiʻona wale nō. Ma hope o ka ʻike ʻana i kahi fibroid uterine, hoʻohana ke kauka i kahi mea lahilahi ʻē aʻe e hoʻouna i nā nila liʻiliʻi i loko o ka fibroid. E wela nā nila liʻiliʻi, e hoʻopau ana i ka ʻiʻo fibroid. \nHoʻohana ʻole kēia mau kaʻina hana i nā ʻoki a i ʻole nā ʻoki liʻiliʻi. Hoʻopili ʻia lākou me nā manawa hoʻōla wikiwiki a me nā pilikia liʻiliʻi ma mua o ka hana ʻoki kino ākea maʻamau. ʻO nā mālama minimally invasive no nā fibroids uterine e komo pū me: \n- Uterine artery embolization. Hoʻokomo ʻia nā ʻāpana liʻiliʻi i kapa ʻia ʻo nā mea embolic i loko o nā arteries e hāʻawi ana i ka uterus me ke koko. Hoʻokiʻekiʻe nā ʻāpana i ke kahe koko i nā fibroids, e hoʻopōʻino ana iā lākou a make. \n Hiki i kēia ʻenehana ke kōkua i ka hoʻemi ʻana i nā fibroids a hoʻomaha i nā hōʻailona i hana ʻia e lākou. Hiki ke hana nā pilikia inā emi ke kahe koko i kāu mau ovaries a i ʻole nā ʻōnaehana ʻē aʻe. Akā hōʻike nā noiʻi ua like nā pilikia me nā mālama ʻoki fibroid. A emi ka pilikia o ka pono ʻana i ka transfusion koko. \n- Radiofrequency ablation. I kēia kaʻina hana, hoʻopau ka wela mai ka ikehu radiofrequency i nā fibroids uterine a hoʻemi i nā moku koko e hānai iā lākou. Hiki ke hana ʻia kēia ma o nā ʻoki liʻiliʻi i ka wahi ʻōpū, kahi ʻano hana ʻoki kino i kapa ʻia ʻo laparoscopy. Hiki ke hana ʻia pū ma o ka vagina, i kapa ʻia ʻo kahi kaʻina hana transvaginal, a i ʻole ma o ka cervix, i kapa ʻia ʻo kahi kaʻina hana transcervical. \n Me ka laparoscopic radiofrequency ablation, hana kāu kauka i ʻelua mau ʻoki liʻiliʻi i ka ʻōpū. Hoʻokomo ʻia kahi mea hana nānā lahilahi me kahi kāmela ma ka piko, i kapa ʻia ʻo laparoscope, ma o nā ʻoki. Ma ka hoʻohana ʻana i ke kāmela a me kahi mea hana ultrasound, ʻike kāu kauka i nā fibroids e mālama ʻia. \n Ma hope o ka ʻike ʻana i kahi fibroid, hoʻohana kāu kauka i kahi mea hana e hoʻouna i nā nila liʻiliʻi i loko o ka fibroid. E wela nā nila i ka ʻiʻo fibroid a hoʻopau iā ia. Hoʻololi koke ka fibroid i hoʻopau ʻia. No ka laʻana, hele ia mai ka paʻakikī e like me ka pōle golf i ka palupalu e like me ka marshmallow. I nā mahina 3 a 12 e hiki mai ana, hoʻomau ka fibroid e emi, a maikaʻi nā hōʻailona. \n Ua ʻike ʻia hoʻi ka laparoscopic radiofrequency ablation ʻo ka hana Acessa a i ʻole Lap-RFA. No ka mea ʻaʻohe ʻoki ʻana i ka ʻiʻo uterine, manaʻo nā kauka ʻo Lap-RFA he lapaʻau invasive emi ma mua o nā hana ʻoki e like me ka hysterectomy a me ka myomectomy. Loaʻa ka hapa nui o nā kānaka i loaʻa ke kaʻina hana i nā hana maʻamau i loko o kekahi mau lā. \n ʻO ke ala transcervical — a i ʻole ma o ka cervix — i ka radiofrequency ablation i kapa ʻia ʻo Sonata. Hoʻohana pū ia i ka alakaʻi ultrasound e ʻike i nā fibroids. \n- Laparoscopic a i ʻole robotic myomectomy. I ka myomectomy, wehe kāu kauka i nā fibroids a waiho i ka uterus ma kahi. \n Inā he liʻiliʻi ka nui o nā fibroids, hiki iā ʻoe a me kāu kauka ke koho i kahi kaʻina hana laparoscopic. Hoʻohana kēia i nā mea hana lahilahi i waiho ʻia ma o nā ʻoki liʻiliʻi i ka ʻōpū e wehe i nā fibroids mai ka uterus. \n I kekahi manawa, hoʻohana ʻia kahi ʻōnaehana robotic no ke kaʻina hana laparoscopic. ʻIke kāu kauka i kāu wahi ʻōpū ma kahi monitor me ka hoʻohana ʻana i kahi kāmela liʻiliʻi i hoʻopili ʻia i kekahi o nā mea hana. Hāʻawi ka robotic myomectomy i kāu kauka i kahi hiʻohiʻona 3D nui o kāu uterus. Hiki i kēia ke hana i ke kaʻina hana ʻoi aku ka pololei ma mua o ka hiki ke hoʻohana ʻana i kekahi mau ʻenehana ʻē aʻe. \n Hiki ke wehe ʻia nā fibroids nui ma o nā ʻoki liʻiliʻi ma ka wāwahi ʻana iā lākou i nā ʻāpana me kahi mea hana e ʻoki ana i ka ʻiʻo. Ua kapa ʻia kēia ʻo morcellation. Hiki ke hana ʻia i loko o kahi ʻeke hana ʻoki e hoʻemi i ka pilikia o ka hoʻolaha ʻana i nā cell kanesa i ʻike ʻole ʻia e nā kauka. A i ʻole hiki ke hana ʻia ma ka hoʻolōʻihi ʻana i hoʻokahi incision e wehe i nā fibroids me ka ʻole o ka morcellation. \n- Hysteroscopic myomectomy. Hiki paha kēia kaʻina hana he koho inā aia nā fibroids i loko o ka uterus, i kapa ʻia hoʻi he submucosal fibroids. Wehe ʻia nā fibroids me ka hoʻohana ʻana i nā mea hana i waiho ʻia ma o ka vagina a me ka cervix i loko o ka uterus. \n- Endometrial ablation. Hiki i kēia kaʻina hana ke hoʻemi i ke kahe menstrual kaumaha. Hāʻawi kahi mea hana i hoʻokomo ʻia i loko o ka uterus i ka wela, ka ikehu microwave, ka wai wela, ka mahana anu a i ʻole kahi kahe uila. Hoʻopau kēia i ka ʻiʻo e uhi ana i loko o ka uterus. \n ʻAʻole paha ʻoe e hāpai keiki ma hope o ka endometrial ablation. Akā he manaʻo maikaʻi ia e lawe i ka hānau keiki e pale aku i kahi hua fertilized mai ka hana ʻana i loko o kahi fallopian tube, i kapa ʻia he ectopic pregnancy. Me ka ʻole o ka mālama ʻana, hiki i ka ʻiʻo ulu ke hoʻokumu i ke kahe koko weliweli. \nUterine artery embolization. Hoʻokomo ʻia nā ʻāpana liʻiliʻi i kapa ʻia ʻo nā mea embolic i loko o nā arteries e hāʻawi ana i ka uterus me ke koko. Hoʻokiʻekiʻe nā ʻāpana i ke kahe koko i nā fibroids, e hoʻopōʻino ana iā lākou a make. \nHiki i kēia ʻenehana ke kōkua i ka hoʻemi ʻana i nā fibroids a hoʻomaha i nā hōʻailona i hana ʻia e lākou. Hiki ke hana nā pilikia inā emi ke kahe koko i kāu mau ovaries a i ʻole nā ʻōnaehana ʻē aʻe. Akā hōʻike nā noiʻi ua like nā pilikia me nā mālama ʻoki fibroid. A emi ka pilikia o ka pono ʻana i ka transfusion koko. \nRadiofrequency ablation. I kēia kaʻina hana, hoʻopau ka wela mai ka ikehu radiofrequency i nā fibroids uterine a hoʻemi i nā moku koko e hānai iā lākou. Hiki ke hana ʻia kēia ma o nā ʻoki liʻiliʻi i ka wahi ʻōpū, kahi ʻano hana ʻoki kino i kapa ʻia ʻo laparoscopy. Hiki ke hana ʻia pū ma o ka vagina, i kapa ʻia ʻo kahi kaʻina hana transvaginal, a i ʻole ma o ka cervix, i kapa ʻia ʻo kahi kaʻina hana transcervical. \nMe ka laparoscopic radiofrequency ablation, hana kāu kauka i ʻelua mau ʻoki liʻiliʻi i ka ʻōpū. Hoʻokomo ʻia kahi mea hana nānā lahilahi me kahi kāmela ma ka piko, i kapa ʻia ʻo laparoscope, ma o nā ʻoki. Ma ka hoʻohana ʻana i ke kāmela a me kahi mea hana ultrasound, ʻike kāu kauka i nā fibroids e mālama ʻia. \nMa hope o ka ʻike ʻana i kahi fibroid, hoʻohana kāu kauka i kahi mea hana e hoʻouna i nā nila liʻiliʻi i loko o ka fibroid. E wela nā nila i ka ʻiʻo fibroid a hoʻopau iā ia. Hoʻololi koke ka fibroid i hoʻopau ʻia. No ka laʻana, hele ia mai ka paʻakikī e like me ka pōle golf i ka palupalu e like me ka marshmallow. I nā mahina 3 a 12 e hiki mai ana, hoʻomau ka fibroid e emi, a maikaʻi nā hōʻailona. \nUa ʻike ʻia hoʻi ka laparoscopic radiofrequency ablation ʻo ka hana Acessa a i ʻole Lap-RFA. No ka mea ʻaʻohe ʻoki ʻana i ka ʻiʻo uterine, manaʻo nā kauka ʻo Lap-RFA he lapaʻau invasive emi ma mua o nā hana ʻoki e like me ka hysterectomy a me ka myomectomy. Loaʻa ka hapa nui o nā kānaka i loaʻa ke kaʻina hana i nā hana maʻamau i loko o kekahi mau lā. \nʻO ke ala transcervical — a i ʻole ma o ka cervix — i ka radiofrequency ablation i kapa ʻia ʻo Sonata. Hoʻohana pū ia i ka alakaʻi ultrasound e ʻike i nā fibroids. \nLaparoscopic a i ʻole robotic myomectomy. I ka myomectomy, wehe kāu kauka i nā fibroids a waiho i ka uterus ma kahi. \nInā he liʻiliʻi ka nui o nā fibroids, hiki iā ʻoe a me kāu kauka ke koho i kahi kaʻina hana laparoscopic. Hoʻohana kēia i nā mea hana lahilahi i waiho ʻia ma o nā ʻoki liʻiliʻi i ka ʻōpū e wehe i nā fibroids mai ka uterus. \nI kekahi manawa, hoʻohana ʻia kahi ʻōnaehana robotic no ke kaʻina hana laparoscopic. ʻIke kāu kauka i kāu wahi ʻōpū ma kahi monitor me ka hoʻohana ʻana i kahi kāmela liʻiliʻi i hoʻopili ʻia i kekahi o nā mea hana. Hāʻawi ka robotic myomectomy i kāu kauka i kahi hiʻohiʻona 3D nui o kāu uterus. Hiki i kēia ke hana i ke kaʻina hana ʻoi aku ka pololei ma mua o ka hiki ke hoʻohana ʻana i kekahi mau ʻenehana ʻē aʻe. \nHiki ke wehe ʻia nā fibroids nui ma o nā ʻoki liʻiliʻi ma ka wāwahi ʻana iā lākou i nā ʻāpana me kahi mea hana e ʻoki ana i ka ʻiʻo. Ua kapa ʻia kēia ʻo morcellation. Hiki ke hana ʻia i loko o kahi ʻeke hana ʻoki e hoʻemi i ka pilikia o ka hoʻolaha ʻana i nā cell kanesa i ʻike ʻole ʻia e nā kauka. A i ʻole hiki ke hana ʻia ma ka hoʻolōʻihi ʻana i hoʻokahi incision e wehe i nā fibroids me ka ʻole o ka morcellation. \nEndometrial ablation. Hiki i kēia kaʻina hana ke hoʻemi i ke kahe menstrual kaumaha. Hāʻawi kahi mea hana i hoʻokomo ʻia i loko o ka uterus i ka wela, ka ikehu microwave, ka wai wela, ka mahana anu a i ʻole kahi kahe uila. Hoʻopau kēia i ka ʻiʻo e uhi ana i loko o ka uterus. \nʻAʻole paha ʻoe e hāpai keiki ma hope o ka endometrial ablation. Akā he manaʻo maikaʻi ia e lawe i ka hānau keiki e pale aku i kahi hua fertilized mai ka hana ʻana i loko o kahi fallopian tube, i kapa ʻia he ectopic pregnancy. Me ka ʻole o ka mālama ʻana, hiki i ka ʻiʻo ulu ke hoʻokumu i ke kahe koko weliweli. \nMe kekahi kaʻina hana ʻaʻole e wehe i ka uterus, aia kahi pilikia e ulu hou nā fibroids a hoʻokumu i nā hōʻailona e pono ai ka mālama. \nʻO nā koho no nā hana ʻoki ākea maʻamau e hoʻohana ana i kahi incision nui e komo pū me: \n- Abdominal myomectomy. Hoʻoneʻe kēia ʻano hana ʻoki i nā fibroids ma o kahi ʻoki nui i ka wahi ʻōpū, i kapa ʻia hoʻi he ʻōpū. Hiki i kāu kauka ke kuhikuhi inā loaʻa iā ʻoe ma mua o hoʻokahi fibroid, nā fibroids nui loa a i ʻole nā fibroids hohonu loa. \n Nui nā kānaka i haʻi ʻia he hysterectomy wale nō kā lākou koho hiki ke loaʻa kahi abdominal myomectomy ma kahi. Hiki i ka ʻeha ma hope o ka hana ʻoki ke hoʻemi i nā manawa o ka hiki ke hāpai keiki i ka wā e hiki mai ana, ʻoiai. \n- Hysterectomy. Hoʻoneʻe kēia hana ʻoki i ka uterus. Ke noho nei ia ʻo ia wale nō ka hopena mau i hōʻoia ʻia no nā fibroids uterine. \n Hoʻopau ka hysterectomy i kou hiki ke hānau keiki. Inā hoʻoholo ʻoe e wehe i kāu mau ovaries, e lawe mai ka hana ʻoki i ka menopause. A laila e koho ʻoe inā e lawe i ka hormone replacement therapy, ʻo ia ka lāʻau lapaʻau e hiki ke hoʻomaha i nā hopena ʻaoʻao menopause e like me nā wela wela. Hiki i ka hapa nui o nā kānaka me nā fibroids uterine ke koho e mālama i kā lākou mau ovaries. \nAbdominal myomectomy. Hoʻoneʻe kēia ʻano hana ʻoki i nā fibroids ma o kahi ʻoki nui i ka wahi ʻōpū, i kapa ʻia hoʻi he ʻōpū. Hiki i kāu kauka ke kuhikuhi inā loaʻa iā ʻoe ma mua o hoʻokahi fibroid, nā fibroids nui loa a i ʻole nā fibroids hohonu loa. \nNui nā kānaka i haʻi ʻia he hysterectomy wale nō kā lākou koho hiki ke loaʻa kahi abdominal myomectomy ma kahi. Hiki i ka ʻeha ma hope o ka hana ʻoki ke hoʻemi i nā manawa o ka hiki ke hāpai keiki i ka wā e hiki mai ana, ʻoiai. \nHysterectomy. Hoʻoneʻe kēia hana ʻoki i ka uterus. Ke noho nei ia ʻo ia wale nō ka hopena mau i hōʻoia ʻia no nā fibroids uterine. \nHoʻopau ka hysterectomy i kou hiki ke hānau keiki. Inā hoʻoholo ʻoe e wehe i kāu mau ovaries, e lawe mai ka hana ʻoki i ka menopause. A laila e koho ʻoe inā e lawe i ka hormone replacement therapy, ʻo ia ka lāʻau lapaʻau e hiki ke hoʻomaha i nā hopena ʻaoʻao menopause e like me nā wela wela. Hiki i ka hapa nui o nā kānaka me nā fibroids uterine ke koho e mālama i kā lākou mau ovaries. \nʻO Morcellation kahi kaʻina hana o ka wāwahi ʻana i nā fibroids i nā ʻāpana liʻiliʻi. Hiki iā ia ke hoʻokiʻekiʻe i ka pilikia o ka hoʻolaha ʻana i ka kanesa inā wāwahi ʻia kahi tumor kanesa i ʻike ʻole ʻia ma mua me ka morcellation i ka wā o kahi kaʻina hana myomectomy. Hiki ke hoʻemi ʻia ka pilikia inā: \n- Ke nānā nei ka hui hana ʻoki i nā kumu pilikia o kahi kanaka ma mua o ka hana ʻoki. \n- Wāwahi ʻia ka fibroid i loko o kahi ʻeke hana ʻoki i ka wā o ka morcellation. \n- Hoʻolōʻihi ʻia ka incision e wehe i kahi fibroid nui me ka ʻole o ka morcellation. \nLawe nā myomectomies a pau i ka pilikia o ka ʻoki ʻana i ka kanesa i ʻike ʻole ʻia. Akā ʻo nā poʻe ʻōpio i hele ʻole i ka menopause ma ka nui loa he pilikia haʻahaʻa o ka kanesa i ʻike ʻole ʻia ma mua o nā kānaka ma luna o 50 mau makahiki. \nEia kekahi, ʻoi aku ka maʻamau o nā pilikia i ka wā o ka hana ʻoki ākea ma mua o ka manawa o ka hoʻolaha ʻana i kahi kanesa i manaʻo ʻole ʻia i loko o kahi fibroid i ka wā o kahi kaʻina hana minimally invasive. Inā manaʻo kāu kauka e hoʻohana i ka morcellation, e noi i ke kauka e wehewehe i kāu mau pilikia ma mua o ka mālama ʻana. \nMa ʻAmelika Hui Pū ʻIa, ʻōlelo ka Food and Drug Administration (FDA) e kūʻē i ka hoʻohana ʻana i kahi mea hana morcellator no ka hapa nui o nā kānaka i wehe ʻia nā fibroids ma o ka myomectomy a i ʻole hysterectomy. Manaʻo ka FDA e noho nā kānaka e kokoke ana i ka menopause a i ʻole i hiki i ka menopause mai ka power morcellation. Hiki i nā poʻe ʻelemakule e komo ana a komo ana i ka menopause ke loaʻa kahi pilikia kanesa kiʻekiʻe. A loaʻa i nā kānaka i makemake ʻole hou e hāpai keiki nā koho mālama ʻē aʻe no nā fibroids. \nMe ka hysterectomy a i ʻole endometrial ablation, ʻaʻole hiki iā ʻoe ke hāpai keiki i ka wā e hiki mai ana. Eia kekahi, ʻaʻole paha ka uterine artery embolization a me ka radiofrequency ablation nā koho maikaʻi loa inā makemake ʻoe e mālama i ka nui o kāu fertility. \nE kamaʻilio me kāu kauka e pili ana i nā pilikia a me nā pono o kēia mau kaʻina hana inā makemake ʻoe e mālama i ka hiki ke hāpai keiki. A inā ke ho'āʻo nei ʻoe e hāpai keiki, e kiʻi i kahi loiloi fertility piha ma mua o kou hoʻoholo ʻana i ka